Gerald S. Phipps, Dmd, Ms, PLLC
Clinic/Center, Dental in Spokane, WA. Organization (NPI-2).
NPI number1043663768
StatusActive
Last updated in NPPESJul 18, 2016
Details
- NPI
- 1043663768
- Entity type
- Organization (NPI-2)
- Legal business name
- Gerald S. Phipps, Dmd, Ms, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2016
- Last updated
- Jul 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 5609 | WA | Yes |
Other names
- Phipps Orthodontics (Doing Business As)
Practice location
520 S Cowley St#102a
Spokane, WA 99202-1315
Phone 509-838-3703 · Fax 509-838-0375
Mailing address
520 S Cowley St#102a
Spokane, WA 99202-1315
Phone 509-838-3703 · Fax 509-838-0375
Authorized official
Gerald S Phipps
Orthodontist
5098383703
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